| NPI | 1700923315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00003809) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003579) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-09-26 |